Author Question: Shortly after admission, a psychiatricmental health client has been placed on a clinical pathway. A ... (Read 61 times)

crobinson2013 · **on:** Jul 19, 2018

Shortly after admission, a psychiatricmental health client has been placed on a clinical pathway. A clinical pathway is best described as what?

A) A prewritten nursing care plan
B) A standard of care
C) A multidisciplinary plan of care
D) A classification system

Question 2

A client with three children (11, 9, and 6 years of age) seeks preventive treatment at a mental health clinic.

She states, I'm here before I go crazy The kids don't listen. I yell at them and then, rather than argue constantly, I give in. What a great mom, huh? My mom and dad were very permissive with me, but I was more cooperative and willing to behave. Which of the following diagnoses is best?
A) Health-Seeking Behaviors related to desire for a more stable home environment as evidenced by statement, I'm here before I go crazy
B) Situational Low Self-esteem related to ironic statement What a great mom as evidenced by desire for help
C) Ineffective Coping related to inability to effectively discipline children and evidenced by statements about disciplining patterns
D) Impaired Parenting related to a lack of knowledge about parenting skills as evidenced by statements about feelings of ineffectiveness

Carissamariew · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: C
Feedback:
Clinical pathways are similar to standardized nursing care plans, but they are designed for the entire treatment team.

Answer to Question 2

Ans: D
Feedback:
The nurse chooses the appropriate diagnosis from the North American Nursing Diagnosis Association (NANDA) list by examining definitions, considering related and risk factors, and choosing a diagnostic concept that fits the assessment data. The nurse adds a descriptor (ie, impaired) and an etiology, or a related to phrase, to provide a precise representation of the patient's needs. Defining characteristics, the third part of the nursing diagnosis, are the subjective and objective data (signs and symptoms) that must be present to substantiate use of the diagnoses. The client's perceived deficits in her parenting ability are central to her statement.